Jacks Enterprises-Dothan Inc
Jacks Enterprises-Dothan Inc is a healthcare organization registered as Community/Retail Pharmacy in Dothan, AL, holding Type 2 (organization) NPI 1215098033 since 2006. The authorized official on file is Matthew Dixon, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215098033 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jacks Enterprises-Dothan Inc |
| Other name | <Unavail> |
| Practice address | 1909 HONEYSUCKLE RD, Dothan, AL, 36305 |
| Phone | 3348360890 |
| Fax | 3348360894 |
| Enumeration date | 2006-12-13 |
| Last updated in NPPES | 2026-05-18 |
Authorized official
| Name | Matthew Dixon |
|---|---|
| Title | Business Manager |
| Phone | 3348360890 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 112613 | AL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003604 | Medicaid | AL | — |
| 0132857 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Jacks Enterprises-Dothan Inc NPI: 1215098033 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1909 HONEYSUCKLE RD, Dothan, AL, 36305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396776944 | Andrew Dannemann | Individual | Ophthalmology Physician | Dothan, AL |
| 1023148558 | Jacey Calhoun | Individual | Pharmacist | Dothan, AL |
| 1316177488 | Southern Eye Specialists PC | Organization | Ophthalmology Physician | Dothan, AL |
| 1902121031 | Kelli Strange | Individual | Pharmacist | Dothan, AL |
Verify this record
Cross-check NPI 1215098033 against the authoritative CMS record: view Jacks Enterprises-Dothan Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jacks Enterprises-Dothan Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-18.